Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
  • A61K31/52—Purines, e.g. adenine
  • A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
  • A61K31/52—Purines, e.g. adenine
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/12—Antivirals

Definitions

• This invention relates to a method of treatment of viral infections caused by hepatitis B virus, in humans and animals, and to the use of compounds in the preparation of a medicament for use in the treatment of such infections.
• EP-A-141927 (Beecham Group p.l.c.; corresponding to U.S. Pat. No. 5,075,445) discloses penciclovir, the compound of formula (A): ##STR2## and salts, phosphate esters and acyl derivatives thereof, as antiviral agents.
• the sodium salt hydrate of penciclovir is disclosed in EP-A-216459 (Beecham Group p.l.c.; corresponding to U.S. Pat. No. 5,246,937).
• Pro-drugs of the compound of formula (A) are of formula (B): ##STR3## and salts and derivatives thereof as defined under formula (A); wherein X is C 1-6 alkoxy, NH 2 or hydrogen.
• the compounds of formula (B) wherein X is C 1-6 alkoxy or NH 2 are disclosed in EP-A-141927 and the compound of formula (B) wherein X is hydrogen, disclosed in EP-A-182024 (Beecham Group p.l.c.).
• a particularly preferred example of a compound of formula (B) is that wherein X is hydrogen and wherein the two OH groups are in the form of the acetyl derivative, described in Example 2 of EP-A-182024, hereinafter referred to as famciclovir.
• the compounds of formulae (A) and (B) and salts and derivatives thereof have been described as useful in the treatment of infections caused by herpesviruses, such as herpes simplex type 1, herpes simplex type 2 and varicella zoster viruses.
• the present invention provides a method of treatment of hepatitis B virus infections in mammals, including humans, which method comprises the administration to the mammal in need of such treatment, an effective amount of a compound of formula (A): ##STR4## or a pro-drug, or a pharmaceutically acceptable salt, phosphate ester and/or acyl derivative of either of the foregoing.
• ⁇ acyl derivative ⁇ is used herein to include any derivative of the compounds of formula (A) in which one or more acyl groups are present. Such derivatives are included as pro-drugs of the compounds of formula (A) in addition to those derivatives which are Der se biologically active.
• pro-drugs examples include pro-drugs, pharmaceutically acceptable salts and derivatives.
• pharmaceutically acceptable salts and derivatives are as described in the aforementioned European Patent references, the subject matter of which are incorporated herein by reference.
• a particular pro-drug of interest is 9-(4-acetoxy-3-acetoxymethylbut-1-yl)-2-aminopurine, known as famciclovir.
• the compound of formula (A) may also be in one of the forms disclosed in EP-A-216459 (Beecham Group p.l.c.).
• the compound may be administered by the oral route to humans and may be compounded in the form of syrup, tablets or capsule.
• any pharmaceutical carrier suitable for formulating such solid compositions may be used, for example magnesium stearate, starch, lactose, glucose, rice, flour and chalk.
• the compound may also be in the form of an ingestible capsule, for example of gelatin, to contain the compound, or in the form of a syrup, a solution or a suspension.
• Suitable liquid pharmaceutical carriers include ethyl alcohol, glycerine, saline and water to which flavouring or colouring agents may be added to form syrups.
• fluid unit dose forms are prepared containing the compound and a sterile vehicle.
• the compound depending on the vehicle and the concentration, can be either suspended or dissolved.
• Parenteral solutions are normally prepared by dissolving the compound in a vehicle and filter sterilising before filling into a suitable vial or ampoule and sealing.
• adjuvants such as a local anaesthetic, preservatives and buffering agents are also dissolved in the vehicle.
• the composition can be frozen after filling into the vial and the water removed under vacuum.
• Parenteral suspensions are prepared in substantially the same manner except that the compound is suspended in the vehicle instead of being dissolved and sterilised by exposure to ethylene oxide before suspending in the sterile vehicle.
• a surfactant or wetting agent is included in the composition to facilitate uniform distribution of the compound of the invention.
• Preferred parenteral formulations include aqueous formulations using sterile water or normal saline, at a pH of 7.4, and above.
• compositions will usually be accompanied by written or printed directions for use in the medical treatment concerned.
• An amount effective to treat a hepatitis B virus infection depends on the nature and severity of the infection and the weight of the mammal.
• a suitable dosage unit might contain from 50 mg to 1 g of active ingredient, for example 100 to 500 mg. Such doses may be administered 1 to 4 times a day or more usually 2 or 3 times a day.
• the effective dose of compound will, in general, be in the range of from 0.2 to 40 mg per kilogram of body weight per day or, more usually, 10 to 20 mg/kg per day.
• the present invention also provides the use of a compound of formula (A) or a pro-drug, or a pharmaceutically acceptable salt, phosphate ester and/or acyl derivative of either of the foregoing, in the preparation of a medicament for use in the treatment of hepatitis B virus infections in mammals, including humans. Such treatment may be carried out in the manner as hereinbefore described.
• the present invention further provides a pharmaceutical composition for use in the treatment of hepatitis B virus infections, which comprises an effective amount of a compound of formula (A) or a pro-drug, or a pharmaceutically acceptable salt, phosphate ester and/or acyl derivative of either of the foregoing, and a pharmaceutically acceptable carrier.
• a pharmaceutical composition for use in the treatment of hepatitis B virus infections which comprises an effective amount of a compound of formula (A) or a pro-drug, or a pharmaceutically acceptable salt, phosphate ester and/or acyl derivative of either of the foregoing, and a pharmaceutically acceptable carrier.
• Such compositions may be prepared in the manner as hereinafter described.
• the activity of the compounds of formula (A) and pro-drugs, salts, phosphate ester and/or acyl derivatives against hepatitis B virus may be identified according to the following Test Protocol.
• Penciclovir and famciclovir were each tested at two dose levels against hepatitis B virus in ducks. Administration was by oral gavage to two ducks at each dose level.
• the compounds showed activity against duck hepatitis B virus in the above test. Activity was demonstrated by a large reduction in the plasma concentration of duck hepatitis virus DNA and DNA polymerase during treatment.
• the Table shows the blood levels of administered drug.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Chemical & Material Sciences (AREA)
• Medicinal Chemistry (AREA)
• Pharmacology & Pharmacy (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Epidemiology (AREA)
• Virology (AREA)
• Communicable Diseases (AREA)
• Oncology (AREA)
• Chemical Kinetics & Catalysis (AREA)
• General Chemical & Material Sciences (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Organic Chemistry (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Plural Heterocyclic Compounds (AREA)
• Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Priority Applications (1)

Applications Claiming Priority (6)

Related Parent Applications (1)

Publications (1)

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Family Applications (1)

Country Status (18)

Families Citing this family (10)

Citations (7)

Family Cites Families (8)

• 1989
  • 1989-03-03 GB GB898904855A patent/GB8904855D0/en active Pending
• 1990
  • 1990-03-01 HU HU901252A patent/HU205715B/hu unknown
  • 1990-03-01 ZA ZA901572A patent/ZA901572B/xx unknown
  • 1990-03-01 AT AT90302186T patent/ATE122562T1/de not_active IP Right Cessation
  • 1990-03-01 EP EP90302186A patent/EP0388049B1/en not_active Expired - Lifetime
  • 1990-03-01 IL IL9359490A patent/IL93594A/en not_active IP Right Cessation
  • 1990-03-01 DE DE69019404T patent/DE69019404T2/de not_active Expired - Lifetime
  • 1990-03-01 CA CA002011238A patent/CA2011238C/en not_active Expired - Lifetime
  • 1990-03-01 AU AU50600/90A patent/AU628137B2/en not_active Expired
  • 1990-03-01 ES ES90302186T patent/ES2072386T3/es not_active Expired - Lifetime
  • 1990-03-01 DK DK90302186.3T patent/DK0388049T3/da active
  • 1990-03-01 IE IE73390A patent/IE67125B1/en not_active IP Right Cessation
  • 1990-03-02 JP JP2049722A patent/JP2513519B2/ja not_active Expired - Lifetime
  • 1990-03-03 KR KR1019900002767A patent/KR0143410B1/ko not_active IP Right Cessation
• 1994
  • 1994-08-08 US US08/287,476 patent/US6136813A/en not_active Expired - Lifetime
• 1995
  • 1995-07-13 HK HK116795A patent/HK116795A/xx not_active IP Right Cessation
  • 1995-08-16 LV LVP-95-253A patent/LV10923B/en unknown
• 1996
  • 1996-04-05 CY CY187096A patent/CY1870A/xx unknown

Patent Citations (8)

Non-Patent Citations (15)

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